S3H-31129-94238
2 vaccinations
1 coded response
15 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 300 / GA
- Registered
- 2022-06-25
- Relationship
- Child or adolescent in my care
- Guardian
- C2A-29682-58216
- Race
- White
- Ethnicity
- N/A
Timeline
-
2022-06-21
Dose 1 — Moderna
-
2022-06-25
Registered in v-safe
- 2022-06-25
- 2022-06-26
- 2022-06-28
- 2022-07-05
- 2022-07-12
- 2022-07-19
-
2022-07-21
Dose 2 — Moderna
- 2022-07-26
- 2022-07-27
- 2022-07-28
- 2022-08-04
-
2022-08-18
Survey response — day 28, dose 2, under 3MedDRA: Bronchiolitis, Conjunctivitis bacterial, Otitis media acute, Respiratory syncytial virus infection — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: RSV bronchiolitis, bacterial conjunctivitis, acute otitis mediaMedDRA releases: 2024-11 · check-in free text available
-
2022-08-18
Report sent to call center — day 28, dose 2, under 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2022-08-19
-
2022-08-19
Call successfulNot applicable - Accidental Reporting
- 2022-08-25
- 2022-09-01
- 2022-10-20
- 2023-01-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-21 | Moderna | No |
| 2 | 2022-07-21 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 12 (Under 3) — day 28, dose 2, under 3
Symptoms: RSV bronchiolitis, bacterial conjunctivitis, acute otitis media
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Bronchiolitis | · | · | ✓ |
| SD | Conjunctivitis bacterial | · | · | ✓ |
| SD | Otitis media acute | · | · | ✓ |
| SD | Respiratory syncytial virus infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release